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Individual

CHRISTOPHER KEETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
2001 SCIOTO TRL STE 300, PORTSMOUTH, OH 45662-5122
(740) 353-6390
(740) 353-6290
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
06961-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
3003305
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2337715
OH
05
78007531
KY
Enumeration date
10/14/2006
Last updated
05/05/2015
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